Seltene, atypische lokalisation einer HSV: Primoinfektion

Primary infections with herpes simplex - virus type I in childhood usually affect the oral mucosa (Stomatitis aphthosa et ulcerosa). Atypically located primary manifestations may lead to difficulties in differential diagnosis. Case report: An eight-month-old girl presented with a primary HSV-infection of her left big toe accompanied by a mild Stomatitis aphthosa. The left toe had been used for sucking. A complete recovery was observed after nine days of aciclovir therapy. Conclusions: In children, primary HSV-infections have to be considered even if the findings are atypically located. Severe manifestations should be treated intravenously with aciclovir.